Organization
FAITHFUL TRANSITION
Active
Other names
Faithful Transition
Organization subpart
No
Provider details
NPI number
Authorized official
SALLE RUDOLPH (CEO)
(724) 866-7625
Entity
Organization
Contact information
Practice address
423 SPENCER AVE, SHARON, PA 16146-3124
(724) 866-7625
Mailing address
511 HARLEY WAY, SHARON, PA 16146-1116
(724) 866-7625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
01/18/2024
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